Back To Basic Health Chiropractic

LBN: Back To Basic Health Chiropractic
Back To Basic Health Chiropractic is an health care organization with primary practice located at 5101 Old Hwy 5 Suite 1, Woodstock GA 30188. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Back To Basic Health Chiropractic can be contacted via phone (678) 494-6735, or through Vaccaro, Kimberly Anne via phone (678) 494-6735.

Contact Information

Primary practice address
5101 Old Hwy 5 Suite 1 Woodstock GA 30188
Fax: (678) 494-6737
Website:
Authorized official contact:
Name: Vaccaro, Kimberly Anne Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4718 Georgia

Profile Details

NPI number 1770796203
LBN Legal business name Back To Basic Health Chiropractic
DBA Doing business as
Authorized official Vaccaro, Kimberly Anne Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Oct 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770796203 NPPES
Other 4718 CHIROPRACTIC
MEDICAID 00804207A CHIROPRACTIC

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